Dr Coakley Services

My Services include:

General rheumatology patients at:

Blackheath Hospital
Winchester House,
Independents Road,
London SE3 9LF
Tel: 020 8318 7722
Appointments: 020 8297 4550
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or

The Harley Street Clinic
16 Devonshire Street
London W1G 7AF
Phone: 0207 079 4344
Email: OPreservations.HSC@hcahealthcare.co.uk

Patients with confirmed or suspected chronic fatigue syndrome and medicolegal patients at:

Keats House
24-26 St Thomas Street
London
SE1 9RS
Phone: 0207 089 0610
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Medical Management

You will expect to get a confirmed diagnosis, an explanation of why you are ill, and sensible advice about how to manage your illness. You might be prescribed medicines to help with insomnia or pain.

Clinical Psychology / Rehabilitation

Clinical psychologists have training in the application of principles of psychology to health and emotional problems. They are not medical doctors and therefore do not prescribe drugs. In relation to ME/CFS, clinical psychologists use their knowledge to help people cope with their fatigue, and guide them in how to overcome the illness.

Clinical psychologists see patients for a wide range of issues arising from ME/CFS, such as stress related to fatigue, pacing of activities, anxiety or depression, pain, and goal setting. The 2021 NICE guidelines on the treatment of ME/CFS advocate CBT for those who feel ready to try it.  While the 2021 NICE guidelines emphasise that CBT is neither a treatment nor a cure for ME/CFS, our experience is that for many, it helps a great deal to get their home and work life back on track.

For some people with ME/CFS, a rehabilitation approach can be helpful, that considers vocational, social and activity-related goals, supported by a multidisciplinary team that includes occupational therapy and physiotherapy.  We work with the MDT at www.vitality360.co.uk

Psychiatry

There has long been a rather fruitless debate over whether ME/CFS has a physical or psychological basis, which has resulted in unhelpful antagonism between doctors and patient groups.

Many cases of ME/CFS have a clear physical basis in an objectively proven illness such as an infection or inflammatory episode. However, others arise from stress or have a post-traumatic element, and in others there is a mixture of physical and psychological factors which contribute to the development of ME/CFS. Studies have shown that around 40% of patients with ME/CFS have depression, and whether this is cause or effect, the assessment and treatment of such patients on occasion requires the involvement of a Consultant Psychiatrist. Our team includes a Consultant Psychiatrist (Dr Alastair Santhouse) with many years experience of treating ME/CFS, and in some cases, it may be suggested that you see him.

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